HomeMy WebLinkAboutOTH Address Requests - 2/11/2009 ******* 173.50 FEE WILL BE APPLIED *******
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DEPARTMENT OF COMMUNITY DEVELOPMENT
ADDRESSING DIVISION
Tracy Moore, Addressing Technician
- - PO Box 186, Shelton WA 98584
1 8 s 4 (360) 427-9670 ext. 291
NAME: I PHONE_-�-t.3
MAILING ADDRESS: 12--D-z5LD - CI l OA%41P, STAT&\V/A+ ZIP
PARCEL NUMBER: of GOYY>� � a�- �� '��� E-MAIL ADDRESS��r1 UJ � G ,
LEGAL DESCRIPTION: CSC_ 43 t 4 I
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PLEASE PROVIDE DRIVING DIRECTIONS TO THE PROPERTY.WHICH SIDE OF THE ROADWAY YOU WILL BE BUILDING ON IF THE
ROAD INTERSECTS YOUR LAND.ANY ADJACENT ADDRESS YOU ARE AWARE OF AND SIMPLE DIAGRAM OF WHERE YOUR
DRIVEWAY WILL BE LOCATED ON THE PARCEL.PLEASE LET US KNOWIFACCESS IS IMPEDED BYA GATE!
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The Mason County Addressing Ordinance requires you to post your new
address within 30 days of it being issued to you.
It must be placed at your driveway entrance clearly visible from the road in reflective contrasting material.It must be posted to
any structure with 30 days of its erection in a contrasting color,visible from the roadway or driveway.
s.srssrrt* wt +tsskrtrtrrt *s +sr+rrrrrrrsTHIS SECTION IS FOR OFFICIAL USE ONLYr+rr+rr�»..+r.*»*r:���s:�rrr*srsr*K�ww*ss►*wary**sr
YOUR NEW ADDRESS IS: 14 04 '
RECEIVE L L 0t LOGGED IN TIDEMARK FIRE DISTRICT
BILLED SE ✓ PAID RECPT #